肝肠吻合术的研究进展  

Research progress in hepatoenterostomy

作　　者：杨俊涛 周波 刘孟刚 YANG Juntao;ZHOU Bo;LIU Menggang(Department of Hepatobiliary and Pancreatic Surgery,the People’s Hospital of Chongqing Liang Jiang New Area,Chongqing 401121,China;Department of Hepatobiliary Surgery,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]重庆两江新区人民医院肝胆胰外科,重庆401121 [2]陆军军医大学大坪医院肝胆外科,重庆400042

出　　处：《重庆医学》2024年第6期922-926,933,共6页Chongqing medicine

基　　金：重庆市自然科学基金面上项目(cstc2020jcyj-msxmX0122)。

摘　　要：肝肠吻合术是一种特殊的胆道重建手术方式,目前尚无明确统一的定义,在适应证的选择和操作细节等方面都有其自身的特点。在一些复杂胆道外科疾病(如先天性胆道闭锁、复杂肝门部肿瘤、高位胆管损伤、高位胆管狭窄等)的手术中,与传统的胆管空肠吻合术相比,肝肠吻合术可明显降低手术难度,减少术后并发症的发生。该文就肝肠吻合术的发展历程、应用进展及技术要点进行了综述,以使更多的肝胆胰外科医师了解该术式。Hepatoenterostomy,which has no clear and unified definition,is a special surgical method of biliary reconstruction,and it has its own characteristics in selection of indications and details of operation.Compared with traditional cholangiojejunostomy,hepatojejunostomy can significantly reduce the difficulty of operation and the occurrence of postoperative complications of some complex biliary diseases such as atresia,complex cholangiocarcinoma,high bile duct injuries,high bile duct strictures and so on.In order to help more hepatobiliary and pancreatic surgeons to understand this method,this article reviewed the development,the advancement,and the key technical points of hepatoenterostomy.

关 键 词：肝肠吻合术 胆道重建 肝门区肿瘤 胆管损伤 胆道狭窄 综述 

分 类 号：R615[医药卫生—外科学]